Michael M. Barry, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Putnam, CT

NPI 1154399400 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1154399400
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
000420 (CT)
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 928-6541
NPI assigned
Mar 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
000420CTMDPodiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 000420 CT Yes

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

PO Box 452349
Sunrise, FL 33345-2349

Other providers in Putnam, CT

All providers in Putnam, CT · Certified Registered Nurse Anesthetist in Connecticut

Sources for this page

Verify at the official NPI Registry.